Individual
MRS. OLIVIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2015 WEBB ST, DETROIT, MI 48206-1283
(313) 883-5614
Mailing address
533 E PALMER ST, DETROIT, MI 48202-3827
(313) 268-6252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401012432
MI
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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